Tired of these weak erections on TRT. Can't seem to find a solutions after 4 years.

[t_spacemonkey]

i got an insane libido boost (beyond fun) with pramipexole. I discovered this accidentally.
after introducing deca (3x80mg injection within 9 days) to my TRT, I suddenly got very strange symptoms of libido gone. after taking 0.25mg pramipexole in the AM, my libido came back pretty instantly. this drug is essentially a more potent short acting caber. I have no clue what the mechanism is, it could be my prolactin went up too high with deca but I am not really sure.
not sure if deca is for me, or what happened. I reduced pramipexole to 0.125mg and my libido is still pretty big - too excessive. I don't think its fair towards my wife lol

 

[camygod]

Ya it’s hard to know what to believe when it comes to nandrolone. Testosterone is neurotoxic if u don’t concurrently have enough estrogen in ur system. The fact that testosterone is a moderate to high aromatizing AAS is what prevents it from being neurotoxic. And nandrolone converts extremely little into E2. So until I see a study using nandrolone, while concurrently making sure the person has adequate levels of estrogen, and then showing that it’s neurotoxic, idk if I believe that nandrolone is just always neurotoxic, if at all.

People also say that nandrolone can cause left ventricular hypertrophy. But if u look it up, the #1 cause of LVH is high BP. So idk if I believe there’s even a risk of LVH, with nandrolone use, as long as ur always making sure ur BP is within a healthy range

and I think a lot of the info out there about deca suppressing fertility more so than test has to do with deca having a longer half llfe. Not sure how much nandrolone being a progestin will effect fertility, if at all, compared to test.

Bottomline is idk if I trust the majority of things that have been spread and repeated about nandrolone over the years. So until I see clear evidence that shows the risks are higher than the rewards, as far as having it be a part of my protocol, I’m gonna continue implementing it

Yes good points thanks for a in depth answer
You think you would have felt good at 100mg a week instead of 200mg ?

 

[Gman86]

i got an insane libido boost (beyond fun) with pramipexole. I discovered this accidentally.
after introducing deca (3x80mg injection within 9 days) to my TRT, I suddenly got very strange symptoms of libido gone. after taking 0.25mg pramipexole in the AM, my libido came back pretty instantly. this drug is essentially a more potent short acting caber. I have no clue what the mechanism is, it could be my prolactin went up too high with deca but I am not really sure.
not sure if deca is for me, or what happened. I reduced pramipexole to 0.125mg and my libido is still pretty big - too excessive. I don't think its fair towards my wife lol

Are u still using deca?

and yes, when nandrolone is used with test, it increases the rate at which testosterone is aromatized into E2. Aka it can increase E2 levels when used with test, more so than ur E2 levels would be on that same dose of test by itself. And since estrogen is the main stimulator of prolactin in the male body, an increase in E2 can also cause prolactin to increase. Nandrolone also can sensitize estrogen and prolactin receptors on cells. So the same levels of estrogen and prolactin and have a greater effect than they normally would have

This is why a DHT derivative that inhibits E2 is commonly used when also using test and nandrolone at the same time. The DHT derivative can suppress E2 and prolactin, which can be a good thing since adding nandrolone to test can increase levels of E2/ prolactin, as well as sensitize E2 and prolactin receptors. What I’ve commonly seen help is DHT derivatives like primobolan, masteron and Proviron. Idk if a DHT derivative like Oxandrolone would help as much

 

[Gman86]

Yes good points thanks for a in depth answer
You think you would have felt good at 100mg a week instead of 200mg ?

Ya possibly. But for whatever reason I feel and function better with a higher level of androgens in my system. For example, I feel my best with a free T around 40, minimum, when using a test based protocol. Which requires me to use around 200mg/ week of test, at least. So idk if I would have felt as good using only 100mg/ week of deca as my main source of androgens.

 

[t_spacemonkey]

Are u still using deca?

and yes, when nandrolone is used with test, it increases the rate at which testosterone is aromatized into E2. Aka it can increase E2 levels when used with test, more so than ur E2 levels would be on that same dose of test by itself. And since estrogen is the main stimulator of prolactin in the male body, an increase in E2 can also cause prolactin to increase. Nandrolone also can sensitize estrogen and prolactin receptors on cells. So the same levels of estrogen and prolactin and have a greater effect than they normally would have

This is why a DHT derivative that inhibits E2 is commonly used when also using test and nandrolone at the same time. The DHT derivative can suppress E2 and prolactin, which can be a good thing since adding nandrolone to test can increase levels of E2/ prolactin, as well as sensitize E2 and prolactin receptors. What I’ve commonly seen help is DHT derivatives like primobolan, masteron and Proviron. Idk if a DHT derivative like Oxandrolone would help as much

I stopped. will do another modified approach on this once it clears. this makes sense. I did reduce T a bit, but maybe did not wait long enough for it to drop first.
I definitely felt deca benefits after 10 days, improved gym mostly and recovery.
it feels pretty difficult to find the ideal protocol - lots of trial and error.
now I know why people on deca use caber - i never taken caber, but i do prefer shorter acting meds.
maybe its time to try NPP instead of deca, quicker to make adjustments.

 

[Gman86]

I stopped. will do another modified approach on this once it clears. this makes sense. I did reduce T a bit, but maybe did not wait long enough for it to drop first.
I definitely felt deca benefits after 10 days, improved gym mostly and recovery.
it feels pretty difficult to find the ideal protocol - lots of trial and error.
now I know why people on deca use caber - i never taken caber, but i do prefer shorter acting meds.
maybe its time to try NPP instead of deca, quicker to make adjustments.

Ya short esters are where it’s at, if u don’t mind the extra pinning, imo. So much easier and faster to trial and error things

Ya without having a DHT derivative on hand, if needed, I feel like it’s a bit riskier to try and make nandrolone work, when adding it to a test base. I love having a DHT derivative on hand. It just makes dialing in a whole lot easier, imo. It’s basically just like having an extra tool in the tool box to get the job done. More tools at ur disposal will always be better than less tools

 

[camygod]

Ya possibly. But for whatever reason I feel and function better with a higher level of androgens in my system. For example, I feel my best with a free T around 40, minimum, when using a test based protocol. Which requires me to use around 200mg/ week of test, at least. So idk if I would have felt as good using only 100mg/ week of deca as my main source of androgens

Ya short esters are where it’s at, if u don’t mind the extra pinning, imo. So much easier and faster to trial and error things

Ya without having a DHT derivative on hand, if needed, I feel like it’s a bit riskier to try and make nandrolone work, when adding it to a test base. I love having a DHT derivative on hand. It just makes dialing in a whole lot easier, imo. It’s basically just like having an extra tool in the tool box to get the job done. More tools at ur disposal will always be better than less tools

Did you have any prolactin issues whilst running Decca?

 

[Gman86]

Did you have any prolactin issues whilst running Decca?

Not that i’m aware of. With the primo my prolactin stays in the single digits. Usually around 7.

on the nandrolone base it came back at 11

 

[Benning78]

Stop injectable and switch to compounding cream and stay with it for a year.
Not gel but compounding pharmacy that makes cream.
Comes in container like roll on deodorant round container.
It definitely gave me back my libido.
It seems many guys have this issue with injectable TRT after few years or more.
Not sure why.
But research it and found out couple endos talking about this on Youtube and did it as they said.
You can rub it on the scrotum area as well, arms, shoulder.
Any body part that needs to get bit bigger this will help as well.
Only down side can be cost.
My trt is $40 per 12 weeks and creme is 130 for same time.
Worth it.
Than go back to injections and your libido is even better again like first time.
At least in my case!

 

[Frank777]

My lowest Total Testosterone reading before TRT was in the 170ng/dl range. At that time, I had no erection issues. 10mg of tadalafil or 20mg of sildenafil would light me up all night. I would have sex every day at times when the wife was willing. Once I started TRT, that quickly moved to 4x a day on some days. I had great sex on TRT for the most part for the first 18 months to two years. The last couple years have been miserable. I would rate my erections at mostly a 6 out of 10. Sometimes less than that.

I can't remember the last time I had a spontaneous erection. I no longer wake up with them. I don't get strong erections through the night. I don't get erections when seeing my wife in sexy lingerie. It takes a good bit of physical stimulation to become aroused. Once I have an erection, it's gone almost immediately without physical stimulation. My libido is good. I want sex every day.

Early on, when I was figuring out my protocol, I would inject large amounts spread out 2x a week. I found that when I did that, taking anastrozole would bring erection quality back. I moved to daily injections to keep levels more stable and not spiking too high. That trick doesn't seem to work anymore and I don't want to be on anastrozole. I've also found that tamoxifen increases both libido and erection quality.

Before my erection issues, I would take 20mg of sildenafil and get flush, warm ears and extremities, stuffy nose and raging erections. Now, I can take 120mg of sildenafil + 20mg of tadalfil and I don't even get those negative side effects (I do get the acid reflux from tadalafil). Not even the side effects??? It's like whatever is happening in my body is completely blocking the effects of PDE5i's. All of my blood work is find. I've tried various levels from 700 Total to 1000 Total. I do better at 700 than 1000. Maybe I need to go back to 600 next to try that for a while.

This is an acute problem since TRT. I'm healthy otherwise. I'm going to say I don't watch porn, but I am starting to think social media feeds like Facebook and Instagram are borderline porn always showing me fitness girls and similar things. I've removed Instagram from my phone.

One idea I'm still toying with is that for the first 2 years on TRT, I was banging my wife 10x a week. I was lifting weights hard for the first time in years, I was looking better, I had energy, people were noticing me physically changing for the better. Did I fry my dopamine system? I have restless leg syndrome and one of the medications for that is a dopamine agonist, ropinirole. That medication helps my legs. Meaning, my body is looking for more dopamine. Caffeine doesn't work too well on me anymore either.

I've read other similar situations online from guys that say their erections and/or libidos went south after a couple years of TRT.

Anyone have any other ideas for me to try? I've tried every protocol from 2x a week to daily injections, 100mg to 175mg per week of Test C. I still have sex, but this is now starting to get to the mental part for me where I'm never sure if it's going to be enough.

Thanks!

Your problem very likely is your HPG axis needs to be reactivated. Via HCG, Kisspepti 10 or something

 

[tropicaldaze1950]

My lowest Total Testosterone reading before TRT was in the 170ng/dl range. At that time, I had no erection issues. 10mg of tadalafil or 20mg of sildenafil would light me up all night. I would have sex every day at times when the wife was willing. Once I started TRT, that quickly moved to 4x a day on some days. I had great sex on TRT for the most part for the first 18 months to two years. The last couple years have been miserable. I would rate my erections at mostly a 6 out of 10. Sometimes less than that.

I can't remember the last time I had a spontaneous erection. I no longer wake up with them. I don't get strong erections through the night. I don't get erections when seeing my wife in sexy lingerie. It takes a good bit of physical stimulation to become aroused. Once I have an erection, it's gone almost immediately without physical stimulation. My libido is good. I want sex every day.

Early on, when I was figuring out my protocol, I would inject large amounts spread out 2x a week. I found that when I did that, taking anastrozole would bring erection quality back. I moved to daily injections to keep levels more stable and not spiking too high. That trick doesn't seem to work anymore and I don't want to be on anastrozole. I've also found that tamoxifen increases both libido and erection quality.

Before my erection issues, I would take 20mg of sildenafil and get flush, warm ears and extremities, stuffy nose and raging erections. Now, I can take 120mg of sildenafil + 20mg of tadalfil and I don't even get those negative side effects (I do get the acid reflux from tadalafil). Not even the side effects??? It's like whatever is happening in my body is completely blocking the effects of PDE5i's. All of my blood work is find. I've tried various levels from 700 Total to 1000 Total. I do better at 700 than 1000. Maybe I need to go back to 600 next to try that for a while.

This is an acute problem since TRT. I'm healthy otherwise. I'm going to say I don't watch porn, but I am starting to think social media feeds like Facebook and Instagram are borderline porn always showing me fitness girls and similar things. I've removed Instagram from my phone.

One idea I'm still toying with is that for the first 2 years on TRT, I was banging my wife 10x a week. I was lifting weights hard for the first time in years, I was looking better, I had energy, people were noticing me physically changing for the better. Did I fry my dopamine system? I have restless leg syndrome and one of the medications for that is a dopamine agonist, ropinirole. That medication helps my legs. Meaning, my body is looking for more dopamine. Caffeine doesn't work too well on me anymore either.

I've read other similar situations online from guys that say their erections and/or libidos went south after a couple years of TRT.

Anyone have any other ideas for me to try? I've tried every protocol from 2x a week to daily injections, 100mg to 175mg per week of Test C. I still have sex, but this is now starting to get to the mental part for me where I'm never sure if it's going to be enough.

Thanks!

I haven't read through the whole thread but, and maybe its been suggested, that you go off of T. Let it clear out of your system. There are men who don't respond to T in the way a doctor would expect and likely does have something to do with HPA malfunction. I believe Dr. Crisler had some such patients. I'm one of them, too, though I keep taking T because I believe I generally function better on it. Maybe I'm wrong. I've been all over the dosing protocols and amounts. The only one that brought some improvement, energywise and sexually, was 100 mg, IM, E5D.

Someone on here had addressed the issue by suggesting varying the protocol and dose every few weeks, including a break from T. I've said it many times that there are men who are truly outliers and do better on dosing protocols that are considered ineffective or outdated, such as a large dose every 2 weeks or even 100 to 150 every 2 weeks to men doing 10 mg, daily.

Don't give up. Regardless of lab numbers, even if they're in the toilet; if that's where you feel good and sexually function, no point in trying to reinvent the wheel!